Choosing The Right Method For Labour Induction: Misoprostol Alone Versus Misoprostol With Foleys Catheter

Background The aim of the retrospective study is to compare effectiveness, safety of oral misoprostol and Foley’s catheter for labour induction with misoprostol. The efficacy is measured by induction to delivery interval, the total number of normal vaginal spontaneous delivery within 24 hours without any complications. The two methods of induction were compared. As there is no ideal method of induction of labour, several methods and a combination method with Foley’s catheter and misoprostol was used to find the advantage of both methods. Materials and Methods: This retrospective study was conducted among the 400 patients of which 200 patients who had oral misoprostol alone and the rest 200 patients who had Foley’s catheter with misoprostol over the period of four months from 2024 May to August. Inclusion criteria consisted of singleton pregnancy greater than or equal to 37 weeks with intact membrane, cephalic presentation,bishops score less than or equal to 4. The exclusion criteria comprised of previous LSCS or uterine surgery, rupture of membrane. Results: The results were analyzed. The comparison of the maternal effects and also the neonatal outcome were studied in each group. We came to a conclusion that oral misoprfostol alone with Foley’s catheter is a better method for labour induction. Conclusion: The synergetic action of Foley’s catheter and misoprostol is remarkable. It is economical and preferable in developing countries.